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Health Rosetta
Building Momentum by
Building Community
Support
The Power of Building Community
Stakeholders in the Health of a Community
● Employers/unions
● Civic-minded biz
leaders (CC,
YPO)
● Benefits advisors
& vendors
● Faith & social
service orgs
● Police & fire chiefs
● Clinicians
● Provider leaders
● Public health
● Education
leaders
● Municipal
leaders
Crises Unify Communities
Unifying Goal: Reduce Opioid Vulnerability*
● Tap into pre-existing relationship and
transaction patterns
● Bring together various stakeholders
around transcendent, unifying ideas
● Stakeholders driven by love for their
community and righteous indignation
● Relationships are a renewable source:
Always be making intros
● Highlighting success feeds virtuous
cycle* Three levels of vulnerability
1) Individual
2) Organization
3) Community — the focus for this
More reading
● Read/review Opioid Crisis Wake-up Call - https://healthrosetta.org/wakeup-
call/advance-ecosystem/
● Starfish and the Spider
● Lessons from a decade of systems change (Appendix B of Opioid Crisis
Wake-up Call)
Health Rosetta
Plan Design and Execution
of First Employer Deals
Highly Confidential.
Do not share without permission.
The basics of health plan design
The basic pieces and who’s involved
The players who
make plans
happen
Fully-insured vs.
Self-funded
Carrier ASO vs.
Independent TPA
Transparent Pharmacy Benefits
Health Rosetta Components
Modular Shipping Containers for High Performance Health Benefits Plans
Transparent Open Networks
Value-Based Primary Care + Patient Stewardship
Independent, Active Plan Administration &
Oversight
High-Performance Plan Design, Docs. & Risk
Mgmt.
Transparent Advisor Relationships
Major Specialties & Outlier Patients
Focus on MSK, Oncology, Cardiometabolic & other high-cost areas
Specific strategies
& vendors slot into
each component.
What’s used varies
by plan size, goals,
geography, claims
experience, and
other criteria.
Making a contract
The basic pieces and who’s involved
Building employer
interest
Matching supply
& demand
Providing
accountability
Making an employer deal happen
Attracting
employer interest
Key documents and
issues to pin down
Coordinating w/
other key players
Why is this good for
employer?
Why is this good for
the employee?
How do we integrate
into the plan?
How do we get
proper underwriting?
How do we track
usage?
TPA
Plan Docs
DPC Doctor
Traditional
healthcare system
(when needed)
Health Rosetta
Replicating Growth of a
New Health Ecosystem
in your community
Highly Confidential.
Do not share without permission.
Community and first
wins are just the start
To make direct care stick, we need broad adoption.
Intro: Innovation Adoption Curve
Growing in an Emerging Category
Category Education
Create Many Initial Conversions
Extended Lead Nurturing
Focus on
Disqualification
Sales
Engagement
New Clients
Narrow Bottom
Close fewer people
by defining
requirementsfccccc
Fat Top
Reach many people
through community
Company Awareness
Three Pronged Health Rosetta Replication Strategy
More employer demand
More financing options
More market options
1
More
People
2
More
Money
More community
More first wins
More employer demand
More market options
More clinicians/facilities
Direct care stickiness
3
More
Replication
Sample Tactics for Building Employer Demand
A couple ways to actually make crap happen.
Create a clinic visit
program. Make the
idea of a new health
ecosystem
concrete.
Clinicians are highly
respected. Leverage
this inherent trust.
Show the
future
Help brokers,
employers, & vendors
advance their
interests.
Be a Stakeholder
Resource
Leverage
Your Trust
Winning your Tribe to Build Momentum
I am/was a lawyer. We think we’re just as unique as doctors do.
Embrace accountability &
define how employers
should measure results.
For example, no MACRA = no
need to be micro-managed.
Living well is the best revenge
Bring the best into your deals
Show
the Dream
Define New
Metrics
Money follows momentum.
Always. Always. Always.
Investors want to
invest in their
communities.
Incentives vary by
investor type.
Revenue is the land
of milk and honey.
Stop reading VC blogs.
Small is beautiful.
Small is sustainable.
Small = weekends.
Start in your
community
Debt vs. equity
vs. hybrid.
Liquidity wins hearts
… and checks.
Be like
Understand
financing structures
Embrace & tailor
to your business

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Health Rosetta Micro-Summit

  • 1. Health Rosetta Building Momentum by Building Community Support
  • 2. The Power of Building Community
  • 3. Stakeholders in the Health of a Community ● Employers/unions ● Civic-minded biz leaders (CC, YPO) ● Benefits advisors & vendors ● Faith & social service orgs ● Police & fire chiefs ● Clinicians ● Provider leaders ● Public health ● Education leaders ● Municipal leaders
  • 4. Crises Unify Communities Unifying Goal: Reduce Opioid Vulnerability* ● Tap into pre-existing relationship and transaction patterns ● Bring together various stakeholders around transcendent, unifying ideas ● Stakeholders driven by love for their community and righteous indignation ● Relationships are a renewable source: Always be making intros ● Highlighting success feeds virtuous cycle* Three levels of vulnerability 1) Individual 2) Organization 3) Community — the focus for this
  • 5. More reading ● Read/review Opioid Crisis Wake-up Call - https://healthrosetta.org/wakeup- call/advance-ecosystem/ ● Starfish and the Spider ● Lessons from a decade of systems change (Appendix B of Opioid Crisis Wake-up Call)
  • 6. Health Rosetta Plan Design and Execution of First Employer Deals Highly Confidential. Do not share without permission.
  • 7. The basics of health plan design The basic pieces and who’s involved The players who make plans happen Fully-insured vs. Self-funded Carrier ASO vs. Independent TPA
  • 8. Transparent Pharmacy Benefits Health Rosetta Components Modular Shipping Containers for High Performance Health Benefits Plans Transparent Open Networks Value-Based Primary Care + Patient Stewardship Independent, Active Plan Administration & Oversight High-Performance Plan Design, Docs. & Risk Mgmt. Transparent Advisor Relationships Major Specialties & Outlier Patients Focus on MSK, Oncology, Cardiometabolic & other high-cost areas Specific strategies & vendors slot into each component. What’s used varies by plan size, goals, geography, claims experience, and other criteria.
  • 9. Making a contract The basic pieces and who’s involved Building employer interest Matching supply & demand Providing accountability
  • 10. Making an employer deal happen Attracting employer interest Key documents and issues to pin down Coordinating w/ other key players Why is this good for employer? Why is this good for the employee? How do we integrate into the plan? How do we get proper underwriting? How do we track usage? TPA Plan Docs DPC Doctor Traditional healthcare system (when needed)
  • 11. Health Rosetta Replicating Growth of a New Health Ecosystem in your community Highly Confidential. Do not share without permission.
  • 12. Community and first wins are just the start To make direct care stick, we need broad adoption.
  • 14. Growing in an Emerging Category Category Education Create Many Initial Conversions Extended Lead Nurturing Focus on Disqualification Sales Engagement New Clients Narrow Bottom Close fewer people by defining requirementsfccccc Fat Top Reach many people through community Company Awareness
  • 15. Three Pronged Health Rosetta Replication Strategy More employer demand More financing options More market options 1 More People 2 More Money More community More first wins More employer demand More market options More clinicians/facilities Direct care stickiness 3 More Replication
  • 16. Sample Tactics for Building Employer Demand A couple ways to actually make crap happen. Create a clinic visit program. Make the idea of a new health ecosystem concrete. Clinicians are highly respected. Leverage this inherent trust. Show the future Help brokers, employers, & vendors advance their interests. Be a Stakeholder Resource Leverage Your Trust
  • 17. Winning your Tribe to Build Momentum I am/was a lawyer. We think we’re just as unique as doctors do. Embrace accountability & define how employers should measure results. For example, no MACRA = no need to be micro-managed. Living well is the best revenge Bring the best into your deals Show the Dream Define New Metrics
  • 18. Money follows momentum. Always. Always. Always. Investors want to invest in their communities. Incentives vary by investor type. Revenue is the land of milk and honey. Stop reading VC blogs. Small is beautiful. Small is sustainable. Small = weekends. Start in your community Debt vs. equity vs. hybrid. Liquidity wins hearts … and checks. Be like Understand financing structures Embrace & tailor to your business

Editor's Notes

  1. Summit Handouts https://docs.google.com/document/d/17i-gN06HR5dwWcKhiP2waOA_NJdAcBKWy40lc30xZU0/edit# Agenda https://docs.google.com/document/d/1ot8kQuJ8pKec_PEMspTvz7LaWKZPYN-6vEfVsrAHx_Y/edit#
  2. Will vary based on use - Clinic launch vs. Operations Not going to grow like software, so don’t finance it like that Impact investors Debt vs. equity